• Implants

   
  Implants are metallic screws or posts which are inserted in the jaw bones and act like artificial roots that support artificial teeth (crowns or bridge) or dentures. Implants are made of Titanium which is a body-friendly metal. Implants are inserted surgically in the jaws, in the region of the tooth/teeth to be replaced. Implants are later fitted with a small part called abutment on which the final crown or bridge is placed.
   
 
Why implant ?
   
 

Implants have many advantages over traditional bridge for replacing lost teeth Bridge needs cutting of adjacent teeth to accommodate the crowns. Implant supports the crown avoiding the modification of any natural teeth.

Implants direct the load to the bone, which stabilizes the bone level. There shall be a certain amount loss of bone otherwise..

Replacement of teeth in perfect manner improves chewing and thus general health. It also restores facial form and beauty
   
 
   
Missing upper right central incisor tooth
 Missing upper right central incisor tooth
   
Implant inserted with the cover screw exposed
 Implant inserted with the cover screw exposed
   
 Crown cemented over the abutment
   
  Who can have dental implants ?
   
 

The ideal candidate for a dental implant is in good general and oral health. Adequate and good quality-bone in your jaw is needed to support the implant, and the best candidates have healthy gum tissues that are free of periodontal disease.

   
 
Who should not have Dental Implants?
 
 
Patients suffering from crippling or uncontrolled diseases such as uncontrolled diabetes, leukemia, hyperparathyroidism etc
 
Patients undergoing chemotherapy and radiotherapy.
 

Women in their 1st three months of pregnancy.

 
Patients who are unable to maintain good oral hygiene for certain reasons.
   
 
Before Placing an Implant
   
 

Before a dental implant is placed, the teeth are cleaned professionally. The radiographs are recorded and the doctor decides about the time of implant insertion and wheather bone grft is needed. The temperory donded bridge prepared.

   
 
Placing the Implants
   
 

Most implants are placed using a two-step process, although some newer implants can be placed in one step

   
 
The First Step – Insertion of the implant
   
 
The procedure is carried out under local anesthesia.
   
 

To place the implants, we first will make an incision (cut) in your gums to expose the bone. We then will drill a hole in the bone for the implant, and place the implant in the hole. We may take an X-ray of the area to make sure the implant is where it should be and then stitch (suture) your gum closed over the implant. The time required for this procedure depends on the number of implants being placed and whether or not bone grafting is being done at the same time. In most cases, placing a single dental implant requires about one hour. You will be advised to take some medicines thereafter.

If the implant is placed in the front of your mouth, We will give you a temporary denture or bridge so that you do not have to be without teeth. We will discuss options with you before the surgery.

   
 

After the surgery one may be advised not to spit, suck and smoke. One should eat soft foods and use antiseptic mouthwash when advised.

   
 

After the implant is placed in the jaw, one will have to wait for 2-3 months for the bone to bond with the implant. During this time, the head of the implant usually remains hidden under your gum.

   
 
The Second Step
   
 

After the implants have integrated (attached) with the surrounding bone, a small incision in the gum  is made to expose the implant. The protective screw is removed from the implant and will be replaced with an abutment. After the impression(measurement) of the abutment, the final crown is prepared and is cemented above the abutment.In a very small percentage of cases, the implants will not have successfully bonded with the bone. If this happens, We may either remove the implants and immediately replace them with slightly wider ones, or remove them and allow the area to heal for several months before making a second attempt

   
 
Complications From Surgery
   
 

Any surgery carries the possibility of complications. Complications of implant surgery include bleeding, infection and injury to nerves, sinuses (located above your upper teeth) or nasal cavity

   
 
Implant Failure
   
 

Implant surgery is successful more than 97% of the time. Occasionally, an implant fails to bond with the surrounding bone. This is usually discovered at the second stage surgery when the implant is uncovered and is loose. In this case, the implant has to be  removed. Another implant can be placed either immediately or at a later visit

   
 
Infection around the implant
   
 

Smoking — This appears to decrease blood flow to the healing gums and bone, which could interfere with the fusing process.

   
 
Deficiency of healthy bone — If there is not enough bone for the implant to remain stable, the implant may move around within the bone and integration does not occur.
   
 
 
 
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